More than a hundred rescue workers were around the building, including military personnel and volunteers

Rescue workers focused on freeing people trapped in a 12-storey building tilting at dangerous angle in Hualien County after a fatal earthquake struck Taiwan’s east coast late Tuesday night.

The shallow, magnitude 6.4 earthquake killed at least six and injured about 256 others as several buildings caved in and tilted into the streets.

The main focus for rescue workers on Wednesday was the Yunmen Tsuiti building that was leaning at a nearly 45-degree angle. Rescue workers erected long steel beams to prevent it from collapsing.

Rescue workers block off the area outside a building which tilted to one side after its foundation collapsed in Hualien after a quake rocked eastern Taiwan early on February 7, 2018.PAUL YANG/AFP/Getty Images

The Tourism Bureau says at least 13 people are believed to be inside a Bed and Breakfast called the the Beauty Inn in the Yunmen Tsuiti building, CNN reports. Dozens of other building residents have not been reached.

The New York Times reports that authorities believe more than 200 people were in the building during the quake. The bodies of four people who died were pulled from the building, as well as dozens of survivors.

Concrete blocks were laid on the steel rods to anchor the building. Half a dozen excavator trucks surrounded the site, where rescue efforts were temporarily suspended because the building was “sliding,” according to Taiwan’s Central Emergency Operation Center.

A police officer guards outside of a collapsed apartment building in Hualien County, eastern Taiwan, Wednesday, Feb. 7 2018.Chiang Ying-ying/AP

More than a hundred rescue workers were around the building, including military personnel and volunteers who were distributing food and hot drinks. Away from the disaster area, the atmosphere in the city was calm as rain beat down on largely deserted streets.

The Yunmen Tsuiti residential building is one of at least four buildings that caved in and shifted on their foundations. That was likely caused by soil liquefaction, when the ground beneath a building loses its solidity under stress such as that caused by an earthquake.

Videos and photos showed several mid-sized buildings in worst-hit Hualien county leaning at sharp angles, their lowest floors crushed into mangled heaps of concrete, glass, iron and other debris. Firefighters climbed ladders hoisted against windows to reach residents inside apartments.

A maintenance worker who was rescued after being trapped in the basement of the Marshal Hotel said the force of the earthquake was unusual even for a region used to temblors.

“At first it wasn’t that big … we get this sort of thing all the time and it’s really nothing. But then it got really terrifying,” the worker, Chen Ming-hui, told Taiwan’s official Central News Agency after he was reunited with his son and grandson following the quake. “It was really scary.”

Aftershocks continue to rattle Taiwan after a strong earthquake that killed at least six people and injured more than 200 others.Unioncom/VCG via Getty Images

Two employees of the hotel were killed in the disaster, CNA said. Taiwan’s National Fire Agency said rescuers freed another employee from the rubble. Other buildings slanted at alarming degrees and rescuers used ladders, ropes and cranes to move residents to safety.

The force of the tremor buckled roads and disrupted electricity and water supplies to thousands of households, the fire agency said.

Japan’s Foreign Ministry said nine Japanese were among the injured. Six mainland Chinese were also injured, the Chinese Communist Party-run People’s Daily reported.

Taiwanese President Tsai Ing-wen moved to reassure the Taiwanese public that every effort would be made to rescue survivors. In a post on her official Facebook page, Tsai said she arrived in Hualien on Wednesday to review rescue efforts.

Rescuers work on a search operation at an apartment building collapsed after a strong earthquake in Hualien County, eastern Taiwan, Wednesday, Feb. 7, 2018.Chiang Ying-ying/AP

Tsai said she “ordered search and rescue workers not to give up on any opportunity to save people, while keeping their own safety in mind.”

“This is when the Taiwanese people show their calm, resilience and love,” she wrote. “The government will work with everyone to guard their homeland.” Bridges and some highways along Taiwan’s east coast were closed pending inspections.

With aftershocks continuing to hit after the quake, residents were directed to shelters, including a newly built baseball stadium, where beds and hot food were provided.

Speaking from a crisis centre in Taipei, Cabinet spokesman Hsu Kuo-yung said rail links appeared to be unaffected and the runway at Hualien airport was intact.

“We’re putting a priority on Hualien people being able to return home to check on their loved ones,” Hsu said. The U.S. Geological Survey said the quake struck just before midnight Tuesday about 21 kilometres northeast of Hualien at a relatively shallow depth of about 10.6 kilometres.

Taiwan has frequent earthquakes due to its position along the “Ring of Fire,” the seismic faults encircling the Pacific Ocean where most of the world’s earthquakes occur.

Exactly two years earlier, a magnitude 6.4 quake collapsed an apartment complex in southern Taiwan, killing 115 people. Five people involved in the construction of the complex were later found guilty of negligence and given prison sentences.

A magnitude 7.6 quake in central Taiwan killed more than 2,300 people in 1999.

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